What are Optimal hormone Levels in Menopause? | PYHP 153 episode artwork

EPISODE · May 1, 2025 · 28 MIN

What are Optimal hormone Levels in Menopause? | PYHP 153

from Progress Your Health Podcast · host Dr Valorie Davidson and Dr Robert Maki

In this episode, we discuss Connie’s question about her hormone levels in menopause. Hormone therapy should be tailored to the individual and not just blood work levels. We discuss how labwork can be important in determining hormone dosing. But it is only one part of working with hormone replacement. It is not wise to just depend on blood work to treat a client. It is taking in the whole picture, including their health history, family history, health goals and intention with hormone replacement. Blood work and lab values are an essential part of creating optimal hormone levels, but not the only consideration. We discuss: Optimal hormone levels in menopause How to tailor hormone replacement to each individual When and how to take estrogen and progesterone HRT How important is lifestyle in aging well Lifestyle changes for menopause What is HRT static dosing What is rhythmic hormone replacement therapy Connie’s Question: "Hi Dr. Maki and Dr. Davidson, Really appreciate your podcast andlisten to all of them. My age is 56 and I went on BHRT about 3 years ago, while notquite in menopause. My plan was to be proactive before the levels tanked, but it didcreate some issues with uterine buildup. That was addressed and all ok, but still tryingto find a perfect balance. I am in menopause now, based on blood levels and my goal isto be at optimum levels of hormone replacement in order to protect bones, heart andbrain. My current compounded cream of Estradiol is 1 mg and Testosterone 0.5mg.Progesterone compounded capsule is 225mg (a bit higher due to my lining build up inthe past). Last labs showed Estradiol at 51.2 and FSH at 70. Labs were run abouthalfway after applying my hrt, which I apply at night. Wanting estradiol to be higher andfsh lower and realizing blood work with creams is maybe hard to pinpoint accurately, butdo you think staying with these doses is optimal? Can the numbers get better with thesame static dosing or is this the best range I will get? Not really interested in having aperiod what with the bleeding concern before, but does it make sense to not takeprogesterone every night, maybe every other? Would that help or hinder things? Thankyou for any information!" If you have a question, please visit our website and click Ask the Doctor a question.   Want more insights like this?  Be sure to subscribe to our newsletter for hormone Q&As, educational guides, and real-world strategies to help you feel like yourself again—especially during perimenopause and menopause. Join the Progress Your Health Newsletter   Stay Connected Instagram: @drvalorie TikTok: @drvaloried Join the Hormone Community: Click here to subscribe   Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or ...

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What are Optimal hormone Levels in Menopause? | PYHP 153

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